Provider Demographics
NPI:1407166952
Name:SKVARCA, HELEN LORENA (RN)
Entity Type:Individual
Prefix:MISS
First Name:HELEN
Middle Name:LORENA
Last Name:SKVARCA
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:29948 PHILLIPS AVE
Mailing Address - Street 2:
Mailing Address - City:WICKLIFFE
Mailing Address - State:OH
Mailing Address - Zip Code:44092-1706
Mailing Address - Country:US
Mailing Address - Phone:440-943-6530
Mailing Address - Fax:
Practice Address - Street 1:29948 PHILLIPS AVE
Practice Address - Street 2:
Practice Address - City:WICKLIFFE
Practice Address - State:OH
Practice Address - Zip Code:44092-1706
Practice Address - Country:US
Practice Address - Phone:440-943-6530
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-10-18
Last Update Date:2010-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN247184163W00000X, 163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health
No163W00000XNursing Service ProvidersRegistered Nurse